Yeah. Welcome to Florida. You get what you pay for.
That sounds less than ideal, but how did her butt look?
Yeah - we had one that came to town in south Georgia many years ago that wanted to do his own epidurals. That went well until he called the on-call anesthesiologist to do one on a Medicaid patient he didn't want to mess with because it "wasn't worth his time". We told him we either do them all, or we don't do any. We did them all after that.
evergreen
I just looked up Strax, one of those guys trained with me and let’s just say this all makes a lot of sense.
Lol chop shops...I have planned for quite a while to give the OB department a gag gift when I leave...a big butcher's block sign that reads "The Butcher's Block." Was gonna hang it over the OB department entrance.
Geez, and I thought Hawai'i and Arizona were bad.
I love this idea. This makes me think of the sign outside our surgeons lounge by the ORs. Someone took whiteout or paint and put quotations around Surgeon's --->>> "Surgeon's" lounge.
So many times I want to ask patients, "are you sure you want to have this surgery done, and my this surgeon?" Not my place, so I don't. I haven't seen a death though..
This also begs the question... When you know you're working with a butcher type surgeon or one that is just really bad, can you hint to pts in a subtle way to reconsider? Patients not in the medical world have no idea what they're getting into when they get an operation. If the doctor presents well and has a nice office but has 2 left hands they won't know until post op the bad times. There has to be a way to protect pts from their unknown
I often think about this when for many patients who get spine surgeries exclusively for pain…
This has happened occasionally in my case in practice (it happened more with a specific surgeon in my residency). I did cancel a case where an elderly patient needed further work up. I'm hoping the patient decides not to proceed with surgery after a . This patient was really old and wasn't having symptoms aka pain.
No reason to be subtle about it.. “surgeons operate for a living and will almost always be open to operating on you - have you exhausted non surgical options?”
I get what you’re saying and agree. In an academic or structured setting, that can work (sometimes). However, these folks don’t really have a boss watching over them.
I would maybe let the Board know about that, especially if this “fat transfer” is going into her derrière.
These surgeons aren’t working at reputable hospitals. They are working for shady strip mall clinics where every corner gets cut, and in South Florida they are competing with cheap Caribbean plastic surgery practices so their margins are thin. The Florida BOM is slowly starting to crack down on some of the more egregious practices but it’s a drop in the bucket of what needs to happen.
No idea who that is but the Florida Medical Board is an abject failure. Overtly corrupt political goons.
Agreed. Wrote a 3 page letter of complaint with several medical literature references. They went through some motions and sent me.a letter no breach of care was discovered. Pretty sad.
Visiting from EM - about a month ago ortho had to wait half an hour for me to do sedation for a messy wrist because we are single covered … the ortho resident was prattling on how he doesn’t see why they can’t just give propofol on their own .. i think sedation is one of the hardest things EPs do despite training and I am thankful every time it goes smoothly. I could see him in 10 years deciding he could just do his own. As you say it’s easy until it’s not easy.
Does he also wonder why he can’t just give Roc to help reduce a shoulder in the ED?
You should have laughed in the face.
Very often they are the same case 🤣
Even better - “you remember that ankle we did a few weeks ago in room x? Did you even notice y happened? Good thing I did, huh?”
Also waiting 30 min? That’s nothing. Dude needs to calm down.
